Charles Jay Beyer, PD
Individual provider Active NPI Pharmacist · Aurora, IN
NPI 1174707459 · NPPES record last updated Dec 22, 2007
Key facts
- NPI
- 1174707459
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- 26015124A (IN)
- Practice address
- 312 3Rd St
Aurora, IN 47001-1310 - Phone
- (812) 926-0552
- Fax
- (812) 926-0697
- NPI assigned
- Dec 22, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26015124A | IN | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| M D J Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 26015124A | IN | Yes |
Addresses
Primary practice location
312 3Rd St
Aurora, IN 47001-1310
Mailing address
9704 Cole LN
Aurora, IN 47001-9764
Phone (812) 926-2884
Other providers in Aurora, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.